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1033466503
EDWARD G BRADLEY
MUSKOGEE, OK
NPI
1033466503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 478)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
Mr. EDWARD G BRADLEY LPC
223 N 3RD ST SUITE 104
MUSKOGEE, OK 74401-6609
Phone number: 918-682-7797
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Mailing Address
Mr. EDWARD G BRADLEY LPC
223 N 3RD ST SUITE 104
MUSKOGEE, OK 74401-6609
Phone number: 918-682-7797
Copy
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